In Office Procedures

Birth Control

Essure® Sterilization

a permanent birth control procedure that works with your body to create a natural barrier against pregnancy. This gentle procedure can be performed in a doctor’s office in less than an hour.

The Essure procedure does not require any cutting into the body. Instead, an Essure trained doctor inserts small flexible micro-inserts™ through the body’s natural pathways (vagina, cervix, and uterus) and into your fallopian tubes. The procedure can be performed in the comfort of a doctor’s office without general anesthesia, and most women resume their normal activities within one day. During the 3 months following the procedure, your body and the micro-inserts work together to form a natural barrier that prevents sperm from reaching the egg. During this period, you must continue using another form of birth control (other than an IUD or IUS). Three months after the Essure procedure, a doctor will perform an Essure Confirmation Test, to confirm that the tubes are fully blocked and that the women can rely on Essure for permanent birth control. Please visit www.essure.com for more information.

Intrauterine Device (IUD)

a small T shaped device that is placed inside the uterus to prevent pregnancy. An IUD prevents the sperm from meeting the egg. Typically, the device will last for five years before needing replaced. IUDs stay in place until removed by your provider. Please visit www.mirena-usa.com for more information. Devices available Skyle, Mirena, and Paraguard.

Nexplanon

is a small soft, and flexible birth control implant that is 4 centimeters in length. Your healthcare provider places it discreetly under the skin on the inside of your arm. This means it’s hidden from view. Nexplanon provides up to 3 years of continuous pregnancy prevention. Please visit www.nexplanon.com.

Heavy Periods

Endometrial Ablation

performed in women who experience heavy bleeding or longer than normal periods an alternative to a hysterectomy. Endometrial Ablation destroys a thin layer of the lining of the uterus to stop menstrual flow in most women.

NovaSure

a quick, safe, simple, one-time endometrial ablation treatment. This minimally invasive procedure controls heavy bleeding by using energy to remove the lining of the uterus. The average treatment time is about 90 seconds, and only needs to be performed once to lighten or stop your periods. NovaSure can be performed in the hospital or in the office. Please visit www.novasure.com for more information.

Gardasil® Cervical Cancer Vaccination

series of three injections to prevent human papillomavirus (HPV). Typically, the injections are administered to girls and young women ages 9 to 26. Please visit www.gardasil.com for more information.

Hormone Pellet Insertion

a procedure where hormones in the form of tiny pellets are placed underneath the skin. Pellets are absorbed by the body over a period of three months. The procedure is repeated every three months.

Hysteroscopy

a procedure that allows the provider to look inside the uterus to diagnosis a suspected medical condition. A hysteroscope acts like a telescope that is inserted into the uterus through the vagina. The provider will be able to see images of the uterus on a screen. Some patients experience mild discomfort (typically cramping) during the procedure.

Pap test Followups

LEEP Excision of the Cervix

Your provider may recommend this procedure if you have an abnormal pap test. Loop Electrosurgical Excision Procedure (LEEP) is a procedure to remove abnormal cells from the cervix. A thin layer of cells are removed from the uterus by a thin wire loop. An electrical current is passed through this loop which cuts away the layer of cells. Some discharge and cramping may occur after the procedure.

Colposcopy

typically recommended when a Pap test results in abnormal cells (atypical cells, pre-cancerous cells, or HPV virus). Providers use a colposcope to magnify the cervix. If abnormalities are found, a sample of the cervix will be taken and sent to the lab for further evaluation. Some patients experience mild discomfort (typically cramping) during the procedure.